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Cervical Cerclage

From: Rachel Goedken (rachel_goedken@und.edu)
Fri, 6 Dec 2002 14:01:02 -0600 (CST)

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My name is Rachel Goedken. I am presently a nursing student at the University of North Dakota. I recently worked with a pregnant patient who had an early second trimester loss due to her incompetent cervix. Since this experience I have become intereseted in methods used to maintain a pregnancy to term when dealing with with a diagnosis of an incompetent cervix. The use of cervical cerclage inparticular, interests me the most. In my search for information I have found conflicting studies pertaining to the effectiveness of this procedure. In one such study a randomized trial of cervical cerclage found no evidence that it either prolonged gestation or improved perinatal survival.(Rush&McPerson) While another study shows successful pregnancy outcomes before cerclage as 13% and after cerclage to be 59% for those mothers who had previous perinatal loses due to an incompetent cervix.(Al-Takroni) I would like to know how often cervical cerclage is seen in practice by OB nurses and would greatly appreciate any feedback about this proceedure's effectiveness. Thankyou for your time.

1. Rush, R., Isaacs, Sl, McPerson, K., et al. A randomized controlle trial of cervical cerclage in women at risk of spontaneous preterm delivery. British Journal of Obstetrics and Gynaecolgy. (1984) 91:724-30

2. Ricciotti,H., Chen,K.,and Sachs, B. The Role of Obsterical mediacal technology in Preventing Low Birth Weight. The Future of Children: A publication of the David and Lucile Packard Foundation.

3. Al-Takroni,A., Aslam, A., Parvathi, C., et al. Emergency Cervical Cerclage: a Review of 15 cases.

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